[Nursing the patient in hepatic coma].
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Biomedical subjects
Publications and source records attributed to M Dumitriu.
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A study was performed of 31 late hemorrhages following traumatic rupture of the spleen. The authors make some considerations in connection with problems of diagnosis and treatment. The difficulty is stressed, encountered in the diagnosis of splenic rupture immediately after the causative trauma, and the high death-rate that ensues. In view of impriving the present results by early surgical treatment, the utility is stressed of clinical observation, as well as of hematologic, radiologic and angiographic explorations of these patients.
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The exertion and risk factors in relation with the state of health, with the psychophysiological reactivity and with the adaptation and fatigue symptomatology were studied by means of complex psychological, psychophysiological, medical) methods in two professional groups that perform an activity implying important mental and sensorial components: monotasterers and correctors, from three polygraphic enterprises and two publishing houses, totalling 167 subjects (74 monotasterers and 93 correctors). The ergonomic work analysis demonstrated that the exertion and risk factors are conditioned both by the contents of work and by the working environment. The occupational exertion is more complex in monotasterers (mental, sensorial and physical) and predominantly sensorial (visual) in correctors. The work hazards are especially brought about by overstraining of the attention and of the visual analyser, with consequences both on the health of workers and on the quality of production. The investigation of the state of health, of the psychophysiological reactivity, as well as of the adaptation and fatigue symptomatology has detected maladjustment and fatigue phenomena, with impairments of the psychosomatic balance, more marked in monotasterers. The suggestions regarding improvement measures were directed both towards aspects of medico-psychological prophylaxis and elements of corrective ergonomics.
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